The Eye Group of Southern Indiana, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE EYE GROUP OF SOUTHERN INDIANA, LLC

Doing business as

Envision Optical

Practice address

1020 W Buena Vista Rd
Evansville, IN 47710-5150

Phone

(812) 422-6977

Fax

(812) 426-7026

NPI assigned

Sep 26, 2006

Last updated

Jun 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William R Penland, M.D.NPI 1518964188

Title

Physician/Owner

Phone

(812) 422-6977

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Envision Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Eye Group of Southern Indiana LLC

  dba The Eye Group LLC

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1013948041

  2769457969

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eye Group Southern Indi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Group of Southern Indiana LLC

  dba The Eye Group LLC

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1013948041
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Penland, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1518964188
  Authorized official Same address or phone
• Omar M Dukar, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1609875723
  NPD
• Michael R Hodges, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1104823566
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1790886547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105150",
            "telephone_number": "812-422-6977",
            "fax_number": "812-426-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105150",
            "telephone_number": "812-422-6977",
            "fax_number": "812-426-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE GROUP OF SOUTHERN INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "812-422-6977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0332340001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Thayer
• The Chesnut Group of Indiana
• The Cobb Group and Associates Inc (Cobb Group)
• The Eye Group of Southern Indiana LLC (The Eye Group LLC)
• The Eye Group of Southern Indiana, LLC (Envision Optical)
• The Health and Hospital Corporation of Marion County (Park Terrace Village)
• The Health and Hospital Corporation of Marion County (Trinity Village)
• The Health and Hospital Corporation of Marion County (Columbia Healthcare Center)
• The Health and Hospital Corporation of Marion County (North Park Nursing Center)
• The Heart Group

• Durable Medical Equipment & Medical Supplies in Evansville, IN
• Providers in Evansville, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.